Kellie Haruko Kumasaka

NPI #1063007052 in Kent, Washington

Provider Information

NPI Number: 1063007052
Entity Type: Individual
Name: Kellie Haruko Kumasaka
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 2, 2021
Last Updated: Mar 2, 2021

Practice Location

Address: ATTN: BEHAVIORAL HEALTH WORKS 6624 S 196TH ST.
Address 2: SUITE U-107
City: Kent
State: Washington
ZIP Code: 98032
Phone: (800) 249-1266

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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